Parent ADHD Is Associated With Greater Parenting Distress in the First Year Postpartum

Objective: Little is known about the experience of parenting infants when a mother or father has ADHD. This study examined cross-sectional predictors of parenting distress experienced by parents with and without ADHD who also have infants. Methods: Participants were 73 mother-father pairs ( N = 146) of infants 6 to 10 months old. Half of the families included a parent with ADHD. Psychosocial predictors were tested using multilevel modeling. Results: Parent or partner ADHD, lower parent sleep quality, fewer social supports, and less infant surgency and effortful control were associated with greater parental distress. Infant negative affect and sleep were not associated. Conclusions: Parents with ADHD and their partners experience greater parenting distress in the first year of their child’s life than parents without ADHD. Addressing parent ADHD symptoms and co-occurring difficulties, including sleep disturbances, are potential targets for early interventions to maximize both parent and infant mental health outcomes.

Development of Down Syndrome Research Over the Last Decades–What Healthcare and Education Professionals Need to Know

Down syndrome (DS) is the most prevalent neurodevelopmental disorder, with a known genetic cause. Besides facial dysmorphologies and congenital and/or acquired medical conditions, the syndrome is characterized by intellectual disability, accelerated aging, and an increased likelihood of an early onset Alzheimer's disease in adulthood. These common patterns of DS are derived from the long-held standard in the field of DS research, that describes individuals with DS as a homogeneous group and compares phenotypic outcomes with either neurotypical controls or other neurodevelopmental disorders. This traditional view has changed, as modern research pinpoints a broad variability in both the occurrence and severity of symptoms across DS, arguing for DS heterogeneity and against a single “DS profile.” Nevertheless, prenatal counseling does not often prioritize the awareness of potential within-group variations of DS, portraying only a vague picture of the developmental outcomes of children with DS to expectant parents. This mini-review provides a concise update on existent information about the heterogeneity of DS from a full-spectrum developmental perspective, within an interdisciplinary context. Knowledge on DS heterogeneity will not only enable professionals to enhance the quality of prenatal counseling, but also help parents to set targeted early interventions, to further optimize daily functions and the quality of life of their children.

Earth Dreams: Reimagining ARPA for Health of People, Places and Planet

Bold new approaches are urgently needed to overcome global health challenges. The proposed Advanced Research Projects Agency for Health (ARPA-H) is intended to provide rapid health breakthroughs. While new technologies for earlier disease detection and more effective treatment are critical, we urge equal attention be given to the wider (physical, emotional, social, political, and economic) environmental ecosystems driving the non-communicable disease (NCD) crisis in the first place. This requires an integrated, cross-sectoral vision that spans the interwoven connections affecting health across the scales of people, places, and planet. This wider “exposome” perspective considers biopsychosocial factors that promote resilience and reduce vulnerabilities of individuals and communities over time—the many variables driving health disparities. Since life course health is strongly determined by early life environments, early interventions should be prioritized as a matter of effectiveness and social justice. Here, we explore the origins of the Advanced Research Project Agency and point to its potential to build integrated solutions, with wisdom and ethical value systems as a compass. Since the planned ARPA-H is anticipated to spawn international collaborations, the imagined concept is of relevance to a broad audience of researchers. With appropriate input, the quest for health equity through personalized, precision medicine while deconstructing unacceptable structural inequities may be accelerated.

Effect of Biochar and Manual Vegetation Control on Early Growth and Survival of Planted Jack Pine (Pinus banksiana Lamb.) Seedlings in Northern Minnesota

Survival of planted seedlings following a regeneration harvest can be challenging and early interventions through silvicultural treatments may be required for successful stand establishment. We tested the influence of soil amendment (biochar+compost, compost-only, or control) and vegetation control (VC; applied either initially or annually for five years using brush saws) on the growth and survival of jack pine at three sites in northern Minnesota. Application of the biochar+compost soil amendment increased seedling survival by 30% relative to the control in the first year, but there was no significant difference in survival among soil amendment treatments after five years. Both soil amendments increased diameter growth relative to the control (14% increase with biochar+compost, 10% increase with compost only), with most of the biochar+compost effect attributed to the compost. Annual VC increased diameter growth by 17% relative to initial VC, but overall effects on survival and growth were generally small relative to reported effects of VC via herbicide. The limited short-term influence of biochar and manual VC on growth and survival of jack pine indicates that these practices are likely not an effective means to increase jack pine establishment, but other benefits (e.g., increased carbon storage) may become apparent with time. Study Implications Emerging changes to forest conditions and climate are likely to create challenges for successful regeneration in even-aged silvicultural systems. Early interventions such as application of soil amendments and vegetation control may be required to increase seedling survival. However, our findings indicate that biochar application and manual vegetation control were not very effective at increasing survival and growth of planted jack pine seedlings across a range of site conditions in northern Minnesota. Further study is warranted to determine whether other biochar application rates and techniques or other forms of vegetation control are more effective for successful jack pine establishment.

Affective touch topography and body image

Recent evidence suggests that altered responses to affective touch—a pleasant interoceptive stimulus associated with activation of the C-Tactile (CT) system—may contribute to the aetiology and maintenance of mental conditions characterised by body image disturbances (e.g., Anorexia Nervosa). Here, we investigated whether tactile pleasantness and intensity differ across body sites, and if individual differences in dysmorphic appearance concerns and body and emotional awareness might be associated with touch perceptions across body sites. To this end, we measured perceived pleasantness and intensity of gentle, dynamic stroking touches applied to the palm, forearm, face, abdomen and back of 30 female participants (mean age: 25.87±1.17yrs) using CT-optimal (3 cm/s) and non-CT optimal (0.3 and 30 cm/s) stroking touch. As expected, participants rated CT-targeted touch as more pleasant compared to the two non-CT optimal stroking touch at all body sites. Regardless of stroking velocity, touch applied to the abdomen elicited the lowest pleasantness ratings. Lower levels of emotional awareness, greater levels of interoceptive sensibility and of dysmorphic concerns were associated with lower preference for CT-optimal stroking touch applied to the forearm and the back. These findings begin to elucidate the link between CT sensitivity, dysmorphic appearance concerns and body and emotional awareness, which may have implications for future research looking to inform early interventions. Addressing impaired processing of affective interoceptive stimuli, such as CT-targeted touch, may be the key to current treatment approaches available for those populations at risk of disorders characterised by body image disturbance.

Neurocognition and Social Cognition— Possibilities for Diagnosis and Treatment in Ultra-High Risk for Psychosis State

In recent decades, clinicians have developed the construct of ultra-high risk (UHR) for psychosis to characterize the prodromal phase of psychosis or classify people with weakly expressed psychotic symptoms. In this conceptual analysis, we have gathered up-to-date data about the clinical picture of neurocognition and social cognition in people at UHR for psychosis. We also discuss treatment options. A well-chosen therapeutic approach can help to deal with difficulties and delay or even prevent the development of full-blown psychotic disorders in the UHR group. Despite much evidence supporting the benefits of therapy, early interventions are still not as widely used as they should be. Thus, a better understanding of the UHR state is very important for all healthcare workers.

Genetic, environmental and microbiological causes of periodontal diseases

Periodontal disease is a term that can be used to describe different oral conditions that occur to the gingiva, in addition to the bones and ligaments supporting the teeth. Periodontal diseases can develop secondary to inflammatory, developmental, genetic, traumatic, neoplastic, and metabolic disorders. In the present literature review, we aim to discuss the different genetic, environmental, and microbiological causes of periodontal diseases based on evidence from the current studies in the literature. Evidence regarding genetics is still not adequate, and further research is still needed to understand the main mechanism of this etiology furtherly. Different diseases and habitual factors can contribute periodontal diseases, mainly due to increased inflammation-induced pathological events. Further attention should be directed to preventing these events to intervene against the development of periodontal diseases adequately. Early interventions against these diseases can attribute to enhance the health and prognosis of the affected patients significantly. Microbiological causes are also important and usually develop mainly as a result of poor hygiene. Therefore, further interventional research should be directed towards raising awareness among individuals to reduce the incidence of the condition.

Psoriasis to Psoriatic Arthritis: The Application of Proteomics Technologies

Psoriatic disease (PsD) is a spectrum of diseases that affect both skin [cutaneous psoriasis (PsC)] and musculoskeletal features [psoriatic arthritis (PsA)]. A considerable number of patients with PsC have asymptomatic synovio-entheseal inflammations, and approximately one-third of those eventually progress to PsA with an enigmatic mechanism. Published studies have shown that early interventions to the very early-stage PsA would effectively prevent substantial bone destructions or deformities, suggesting an unmet goal for exploring early PsA biomarkers. The emergence of proteomics technologies brings a complete view of all involved proteins in PsA transitions, offers a unique chance to map all potential peptides, and allows a direct head-to-head comparison of interaction pathways in PsC and PsA. This review summarized the latest development of proteomics technologies, highlighted its application in PsA biomarker discovery, and discussed the possible clinical detectable PsA risk factors in patients with PsC.

Early intervention for young children with autism spectrum disorder: protocol for a scoping review of economic evaluations

Background In many countries, children who are diagnosed with autism during the first 5 years of life are offered a range of early intervention options. These options vary considerably in the theoretical approaches and techniques applied, their intensity and duration, settings, the person/s delivering supports and the training they require. Early interventions are a significant contributor to total autism-related costs in Western countries, but only in the last 10–20 years has there been adequate outcome data to enable the comparison of different interventions’ cost-effectiveness. This protocol describes a scoping review to better understand what economic evaluations have been completed in this field, and the methods used to date. Methods We will systematically search the following databases from their inception to 2021 for eligible studies: MEDLINE, EMBASE, PsycINFO, Econlit, PEDE, NHS EED and HTA. Full economic evaluations of any types of early intervention for children with autism prior to school entry will be included. Two reviewers will screen the studies, extract the data and assess the study quality using established checklists. The risk of bias will be assessed using the extended CHEC-list for all studies and, additionally, the Philips checklist for modelled studies. Quality of reporting will be assessed using the CHEERS checklist. A narrative synthesis will be completed to collate the findings, describe the methods used and identify which interventions have been researched from an economic perspective. Discussion This review will provide researchers, policymakers and service providers with current information about the economic evidence for early interventions for young children with autism and point to priorities for further research. It will inform future economic evaluations by highlighting the gaps or inconsistencies in the methods used to date. Limitations of the review will be acknowledged and discussed. Systematic review registration Open Science Framework: https://osf.io/sj7kt

Atherosclerosis [Dhamani Pratichaya] in View of Ayurved

Atherosclerosis is a disease condition leading to serious consequences such as ischemic heart disease and stroke. Diet and lifestyle changes are most important for the management of this condition. In this review Ayurvedic understanding of this condition is reported. It is termed as Dhamani pratichay by Charak Samhita and Ashtang Sangraha, as a disease of kapha dosha. Appropriate use of a suitable treatment regimen of kapha dosha is helpful to prevent and combat this disease. Nidanparivarjan [discontinuation of causative food and lifestyle] is necessary to prevent blockages. The specific Ayurvedic etiological factors [hetu], early interventions to prevent the condition have been reviewed in this paper. In severe cases, integrative approach must be used.